Please circle the relevant choices that apply to you. This covers refreshments for early registration on Friday, tea/coffee breaks for Saturday/Sunday, buffet lunches on Saturday/Sunday and a three course dinner with entertainment on Saturday. If you are already a member of the H. G. Wells Society then circle either the £70 or £85 amount. If you are not a member please circle either the £75 or £90 amount. If you are not a member but would like to join and take advantage of the lower registration rate then circle the relevant TWO amounts e.g. £70 and £13, or £85 and £27, and so on.

Please note that one of the conference rooms has four steps down to it; the alternative entrance to the room is not suitable for electric wheel chairs.

Please complete the registration form and mail it or email it to the address below .

Date: _____________________________________________

Name: ____________________________________________

Address: ___________________________________________

_________________________________________________

_________________________________________________

Telephone Number: __________________________________

E-Mail Address: ____________________________________

Dietary Requirements:________________________________

Please send your remittance and registration form to
The H.G. Wells Society
20 Upper Field Close
Hereford
Herefordshire
HR2 7SW
marked for the attention of Valerie Fitch, Treasurer. If you wish to pay direct into our bank account please email your registration form to: valerie.fitch@btinternet.com.